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Our family is growing in many ways... Growing in numbers, knowledge, parenting skills, growing in love, in our faith, growing our culinary skills (if you can call it that), growing without gluten (some of us), growing green...........

Wednesday, February 2, 2011

VBACs, Migraines, and other fun stuff

So, yesterday wasn't the most fun day ever. Could have been worse, I'm sure, but I'm certainly glad it wasn't. It started off with a small headache and just got worse from there... This post isn't just to gripe, though. It's about something I'm hoping to experience and to explain what a blessing my family is. My boys, all three of them, are incredible. :)

I had a dr appt in the morning, which means driving far from home because all of our doctors are at least three or four cities away...driving is often an hour or so, each way. Fun. I went in for a follow-up. Things were fine, but the doctor mentioned at one point (about a cyst on my ovary that wasn't changing any) that when we got pregnant again, I could just have the doctor take a look at it during the c-section. She knows I've had two and so it's assumed any more with also be sections. Well, that was a good segue into a topic that I wasn't really planning on bring up right then but would come up eventually, so I went on and brought it up... VBACs. (For anyone that doesn't know, VBAC means Vaginal Birth After Cesarean).

The problem is, not only have I had one section...but two. The first was absolutely necessary. While baby fat might squish, baby heads can only get so much smaller and no more. Camden had a very large head. After a very intense and painful labor and a few hours of pushing, an emergency c-section was necessary because his head literally would not fit through. Aiden's section...was planned. (And my what a difference between an emergency and planned! Wow.) They heard how big Camden was (11lbs - what's the big deal?) and said no way to a VBAC. At that time, we were not sure which way to go, and so we went along with what they said. Now that I know more, I wish we hadn't. But we did. What's done is done. Aiden wasn't nearly as big as expected. He still came in at 8lbs 11oz, but that's no 11-pounder. And not a big head. The big head comes from Camden's dad, so there's obviously no concern about that from this point on. The weight comes from my side, but I'm not concerned about that, either - remember, it squishes. The head was the problem.

While many places will attempt a VBAC after one section, depending on the reason for the surgery, it's harder to find people that will go for a VBA2C. My dr said they did attempt VBACs (after 1) but she didn't think they did them after 2, and on the way out, she ran into another dr in the practice who said, nope, they don't. I walked out feeling really defeated. Really. Some people will say, what's the big deal? There are risks to having VBACs. Well, yes, but there are more risks to having multiple c-sections. I want to at least have those risks weighed, look at all pros and cons of either possibilities, see what not only affects me now but also when it comes to possibly having more children, etc, etc. I might go into this more (the reasons, risks, etc) in another post at another time. But it's important to me to be given the opportunity if it is possible. There are a number of reasons. And having that option taken away...well, like I said, I felt very defeated.

On the way home, headache was getting worse. It started out a headache, now it's getting to migraine status. Quickly. We haven't decided why yet, but I've been getting them a lot lately (as in over the last six months or more - took me a while to realize they were migraines, and they've continued to get worse lately).

Then Aiden falls asleep on the way home. This is not good. Sometimes he'll go to his bed after falling asleep; sometimes not. If you saw the post on his night terrors, you know why his nap is important. Now I'm regretting having the appt so close to lunchtime, but there really wasn't a choice. And...of course, he doesn't nap once home. We tried. Really tried.

By then, my migraine was getting really bad. It soon reached the point where it might very well be the worst I have ever had. By the time Camden gets home from school, I'm lying on the couch, pretty much not able to function. He was the sweetest thing ever, trying to take care of me. He offered me something to eat about every five seconds, which was a tiny bit annoying...but I'll take that over ignoring me. It really was sweet, though, and he was so caring. I love being reminded of what a great kid he is. Aiden, who can't stand anyone to lie down (or pretend they're sleeping), finally got the hint that mom didn't feel well and showed a bit of sweetness, too. At one point, he was climbing to sit next to me, and he bumped my head really hard with his - right where my head was throbbing. I covered my face so he wouldn't see me crying about it (man, it hurt!), but he did notice after a while. He patted my face softly and said, "Oh, I'm sorry, Mommy. I'm sorry." (Sniff! Sweet child.) When Ryan called to say he was on his way home (you know mama is sick if she asks him to come home...and without even hinting about it first, too!), Camden took the call. I lifted my head up to hear something over speaker-phone, and Aiden gently tried to push my head back down and said, "No, go to sleep." Seriously, how sweet are my kids?! This is totally unlike Aiden, so he must really have understood I wasn't feeling well. It did take a while...first he kept shoving toys in my face and trying to play on top of me or tell me to get up. But still.

Ryan got home around 5:00 or so, and I went up to bed. Thank God I have an awesome husband that is willing (and able) to come home a little early and just take over with everything. I didn't get to sleep until 10pm or later, but it still was nice to lie in bed, in the dark. Aiden came up for his bedtime to nurse, and then he just stayed there and slept next to me. Since he didn't nap, we were worried about a bad night, and I didn't want to have to get up in the middle of the night. He actually did fairly well. A couple times he moaned some and kicked his legs around, tossed and turned some. I was worried it would get worse, but it really didn't. Maybe he should just start out in bed with us more often...

Anyway, it was a rough day. Worst headache ever. I even had nausea with this one, and I never have that. Woke up with a tiny bit of a headache this morning, but it was the kind I can ignore and still go on about my day. That's good because it was my turn to host a playdate, and I really didn't want to cancel! So, we were able to have friends over and have a great time. Aiden is now napping right on schedule. Today is a much better day.

Now, back to the VBAC issue... I love our ob/gyn office. I really do. And so I was very disappointed to have my bubble burst before leaving. But later the dr emailed me saying that some folks over AT Duke *would* consider letting me labor and try for a natural delivery (no induction, though, which is fine with me). The practice I see is affiliated with Duke but not located in the hospital. This other group is associated with the high risk ob dept, I believe. So, hopefully we can soon set up a prepregnancy appointment and see if they can do a risk-analysis and see what they say. (Um, don't assume this means much of anything. We are not pregnant right now. We're big on planning ahead. And this is not something you want to discuss and plan AFTER getting pregnant...) I'm not betting yet that this means I definitely will get to try for a natural delivery, but I'm hopeful that it might mean I have a chance. I know other things could get in the way, too, such as a chance of placenta previa (which I dealt with during both previous pregnancies), etc. Hopefully none of that will be a concern, but you never know. We'll just have to wait and see what they think after hearing my history, etc. Not sure how soon that will happen, but I'll update.

2 comments:

I have had migranies for years so I totally feel your pain. Two things that have helped me are 1. Avoiding caffiene as much as possible. Since you are bfeeding this could be a non issue but if I have a glass of soda two days in a row and not on the third day...migraine everytime. The other thing is I have to take a painkiller asap when the headache starts. If I wait and try to work through it (which I always do) I almost always end up with a migraine. Good luck! Glad you boys were helpful.

Yeah, caffeine isn't much of an issue w/ me, not just b/c of breastfeeding but b/c of my insomnia and all. Most days I have one cup of coffee, but that's it. If I thought it was correlated, I would definitely take that one cup out, but I haven't noticed that when I do or don't have it there is a difference w/ the headaches. Wish it were that simple. :( We thought it was hormone related, but this past set of them weren't around my period or ovulation... ? They did correlate w/ Aiden's latest round of night terrors, so maybe there's a connection there. It's hard to say. So many possibilities. It's enough to drive you crazy trying to figure it out. Drs wanted to put me on birth control (b/c there were some other cycle issues, and we thought they were all related, headaches maybe, too), but we all agreed that isn't going to happen now b/c of trying to get pregnant w/in the next year... Maybe pregnancy will get rid of them for a while. Haha! (Of course, then I have the other pregnancy crap to deal with, so....)